Provider Demographics
NPI:1881637825
Name:RAO, VIKRAM K (MD)
Entity Type:Individual
Prefix:DR
First Name:VIKRAM
Middle Name:K
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1086
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44096-1086
Mailing Address - Country:US
Mailing Address - Phone:440-269-8346
Mailing Address - Fax:440-975-5763
Practice Address - Street 1:36445 BILTMORE PL STE A
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-8228
Practice Address - Country:US
Practice Address - Phone:440-269-8346
Practice Address - Fax:440-975-5763
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH350870842086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4173901Medicare ID - Type UnspecifiedMEDICARE ID
OHI46203Medicare UPIN